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General NPI Number Information
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NPI Number | 1174807499
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Entity Type | Organization
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Legal Business Name | APPLEADAY LIFESTYLE COUNSELING, LLC
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Dates
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Enumeration Date | 10/05/2011
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Last Update Date | 10/05/2011
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Provider Practice Location Address
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Address Line | 4262 TARPON AVE
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City | BONITA SPRINGS
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State | FL
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Zip | 34134-4025
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Country | US
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Telephone | 239-825-5549
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Fax | 866-680-5657
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Provider Business Mailing Address
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Address Line | 4262 TARPON AVE
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City | BONITA SPRINGS
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State | FL
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Zip | 34134-4025
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Country | US
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Telephone | 239-825-5549
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Fax | 866-680-5657
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | KARYN L. CAPOZZO
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Credential | RD, LD/N
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Telephone | 239-825-5549
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | ND 4011
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License Number State | FL
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